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NPI Code Detail

MEDICARE: KATHY SALAS

MEDICARE: KATHY SALAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianOK

General Provider Information

NPI Number : 1104771138
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHY SALAS
Provider Business Mailing Address
First Line : 1301 KIOWA ST
Second Line :
City : ARDMORE
State : OK
Zip : 73401-2280
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1301 KIOWA ST
Second Line :
City : ARDMORE
State : OK
Zip : 73401-2280
Country : US
Telephone Number : 580-850-1160
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2026
Last Update Date : 03/04/2026

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Directions to “ KATHY SALAS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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